Republic of the Philippines

Department of Education
National Capital Region
DIVISION OF LAS PIÑAS
Las Piñas City

PERMIT TO STUDY
School: ________________________________________
Date: _________________________

The Schools Division Superintendent

Through Channels

Madam:

In conformity with the regulations stated in General Circular No. 17, s.1960, as amended by
General Circular No. 17, s.1961, I have the honor to request permission to study at ______________
_________________________________________________ located in ________________________
_________________________________________________ beginning _______________________.
The degree I am to complete is _______________________________________________________.

Attached are the following:

A. My official teaching schedule B. Subjects to be taken

Very truly yours,

____________________________________
Teacher

1st Indorsement
School: ________________________________________
Date: _________________________

Respectfully forwarded to the Schools Division Superintendent, Division of Las Piñas

City, the request for permit to study of ________________________________________.
Attached is a copy of his/her latest performance rating duly approved by the undersigned.

_____________________________
Principal

Submit in three (3) copies.